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NPI Code Detail

MEDICARE: MAI-LING DODSON LPC

MEDICARE: MAI-LING DODSON LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor04862KS

General Provider Information

NPI Number : 1255177861
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAI-LING DODSON LPC
Provider Business Mailing Address
First Line : 218 W GREENWAY ST
Second Line :
City : DERBY
State : KS
Zip : 67037-2641
Country : US
Telephone Number : 316-788-6464
Fax Number :
Provider Business Practice Location Address
First Line : 218 W GREENWAY ST
Second Line :
City : DERBY
State : KS
Zip : 67037-2641
Country : US
Telephone Number : 316-312-0796
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2024
Last Update Date : 04/13/2026

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Directions to “ MAI-LING DODSON LPC” Practice Location

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